| NPI | 1346422219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA V SOUZA Billing Agency 508-548-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 55882) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |